Part Three of the Harling Globetrotters Adventure
January 15, 2009
Kilema, Tanzania
We are one week into our Tanzanian adventure – the three Victorian muskateers and their 40-something mothers. The thrill of the safari remains with us as we head north to higher (and cooler) elevation, to the mountain-side village of Kilema not far from the entrance to Kilimanjaro National Park. We are staying in a spacious three-bedroom house on the compound of the Kilema district hospital, a 100-year medical unit run by the local Catholic diocese. It is here that Stephanie and family spent nine-months last year, her husband Chris working in the HIV clinic, and Steph on the hospital’s orphan program.
On the dala-dala (mini-bus) ride up from Moshi, Fiona and I begin to cram: “Habari!” “ Habari ya asabuhi!” “ Nzuri!” “Asante Sana!” “Caribou!”. There are so many parts and endless combinations to the sing song greeting that all Tanzanians, strangers included, offer up as they cross paths. Learning them is a joyful struggle, and one wholly worthwhile as a simple “Habari!” is a ticket to acceptance in the hearts of the villagers. We are tested and retested throughout our stay; doctors, sisters, nurses and shopkeepers grab our hands and squeeze tight, waiting patiently and laughing as we trip over our words.

Within minutes of our arrival, we are in the orphan program office, greeting with surprise and delight, three 20-something Canadian medical students, two Canadian NGO volunteers, and an equally young coordinator of the hospital’s orphan program. Their presence, and as I learn over the next few weeks, the presence of many Canadian NGOs and volunteers, have become commonplace in the past decade, which explains all the Maple Leafs and Canadiens t-shirts on the backs of villagers we see.

Things run like clock-work here: the church bells ring out at 6:00 each morning; the sun rises a half-hour later; Kilimanjaro glows red from 6:30 to 7:00 and then disappears in the distant clouds by early afternoon. The mornings are brisk; the afternoons hot; and the evenings bring a welcome cooling breeze. Breakfast – bread, peanut butter, pineapple, and all the instant coffee we can manage – is at 7:30; morning prayer and report at eight. The latter is a gathering of all staff on the compound, from security guards and doctors to janitors and cooks. They sing out their morning praise song in a harmony that, with Kilimanjaro towering over us, leaves me covered in goosebumps.
Morning report, on the other hand, leaves me shaking my head. Barely audible mumblings from a couple of nurses (I discover days later that the report I thought was in Swahili was entirely in English), are meant to serve as an update to hospital staff on the various goings on in the hospital – infant deaths, emergency C-sections, liver failures and more; doctors confront a surprising number of challenges in one day in this village hospital.
As foreigners we are spoiled – the kids are thrilled to discover we get a three-bedroom house to ourselves. And this only steps away from the Duka that sells biscuits, candies, pop and rotis. Steph is delighted to see the store is fully stocked with a range of beers. In no time, the Tusker is chilling (okay, that’s a slight embellishment, as it takes us 24 hours to figure out how to get the power turned on), and we settle in.

For the 10 days we spend on the hospital site, Hailey, Eva and Anjali exalt in their freedom. They set up a study schedule which they promptly ignore, but find time, nonetheless, to do journal writing, math, and a bit of reading. Mostly, they run around the compound, helping out where they can, engaging local school children in games of “Keys” and Camoflauge.
On “orphan day” which happens once a month, the kids push up their sleeves and dig deep into bins, sorting black shoes, khaki shorts, blue skirts and white “shirties”, and helping fit them on the 150 kids that show up for their school uniforms.
Stephanie jumps right in where she left off, connecting with parents and relatives and volunteer home-based workers in an effort to get report card results on the 50 children whose school fees she and husband Chris covered last year (see part one). The fees range from about $100,000 (about $100 CAD) Tanzanian shillings to well over $500,000 per child, and it is obvious that without this support, the children in this region would never go to school.
Over the next few weeks, she’ll learn that most of the kids have passed their final exams, that all of them
have grown and need new school uniforms including shoes, that fees in every school have gone up by at least 10 per cent, and that there is no end to the number of parents desperate for their children to go to school. She is endlessly grateful both to her Canadian friends (and French strangers!) who have donated so generously over the past two years, making it possible for her to continue covering tuition. She is also thankful for the committed Tanzanian home-based workers, villagers who have given so much of their time to help identify children in need, and to monitor them for Steph as they move through the school system.
Fiona and I, with our insurmountable language barrier, are not of much value to Stephanie. I pitch in where I can researching funding proposals for the hospital, but spend most of my time interviewing doctors, students and sisters for stories. Fiona accompanies hospital staff on rounds, visiting patients suffering from a range of illnesses including diabetes, pneumonia, hypertension and cancer. She is by turn impressed and dismayed, shocked and concerned by the lack of medical resources, the level of care, and the clear limitations within which rural Tanzanians receive their medical care. She is particularly moved by a young boy in traction who, she learns, will remain immobilized for eight weeks, his leg in a sling, with no books, t.v. or toys to help pass the time.
The hospital itself is more than 100 years old and is run by the Catholic Diocese of Kilema. It’s headed up by the formidable Sister Clarissa, a doctor who has trained in n Tanzania, Germany, the Netherlands and England. Over the years, under her guidance, the hospital has grown, and is now home to a new HIV treatment centre which monitors more than 800 registered out-patients (where Chris spent much of his time last year).
Also on site is a maternal health centre where women can come early in their ninth month of pregnancy to relax, rest, and escape the burden of daily life – women here are farmers, housewives, breadwinners, childcare workers, who also spend much of their time tending to the sick and elderly, fetching water, washing clothes and cleaning house. After the government’s policy announcement two years earlier that all births would be conducted for free in all hospitals, the number of natural and caesarian births conducted on site have more than doubled.
Taking advantage of the Canadian medical students accompanying Tanzanian doctors in the hospital, Fiona and I tag along to what we are told is an emergency C-section. Damon is in his final year of med school at McMaster University and Ritika is completing her first year of residency at U of T. Neither is a stranger to Third World medicine: Ritika lived in Tanzania and India, where she did a brief hospital stint, and Damon spent two months in Dhaka, Bangladesh. And so neither appear too surprised to see the windows of the operating room open to the breeze (and dust!), or by the scrubbing procedures which appear equally non-sterile.
But Fiona and I are definitely surprised to be led right into the operating room where the nurses hand us a stool and guide us to the best spot from which to view and to take pictures (!!). It is the first birth that I have ever witnessed, and I am both shocked by the coarseness of the procedure, and awed by the beautiful girl who appears suddenly and miraculously before us.
There is so much to take in during our ten days at the hospital – the Rotarians from eastern Canada who are armed with their best intentions, experience, and arsenal of skills, all of which they’ll need as they encounter the basic challenges of development. For instance, their sewing project aimed at training girls in the local vocational school suffers from having only one sewing machine which breaks down after the first day. A garden-creation project meant to provide long-term food sustainability to about 100 children at a local school (schools in Tanzania provide lunch to all students and beans, corn and greens are a basic staple), barely gets off the ground before organizers realize that what was thought to be eight acres was barely one, that no thought has gone into how to supply water to the garden, and that the daily and long-term management of the garden has not been considered. Still, a lot of determination from Stephanie, and passion from Rotarians and villagers suggests that this project, among others, will somehow, someday succeed.
Just as we were getting used to the ebb and flow of Kilema life, Fiona and I learn of the opportunity to hook up with a Canadian medical caravan that will be stationing itself in Moshi to offer free medical care to those in need. I’m curious: 21 Canadians, including two teenagers, four nephrologists, a handful of nurses, and two occupational therapists, along with a plane-load of drugs and some high-tech equipment would be descending on the area for a five-day marathon medical session. What does this kind of development look like? And what kind of impact would it have?
Bidding a quick farewell to Steph, we jump on a dala-dala, and head back down the mountain to the big city, to discover for ourselves.



Despite the 10-hour stretch in our hired safari jeep, even the children are mesmerized by all they see. They watch, fascinated, as a hungry-looking cheetah takes off after a very clever fox (who escapes), and laugh hysterically when they discover that the lioness they’ve named Hailey turns out to be a male.


































